EJMCR |

Case Report

Volume: 5 | Issue: 3 | Published: Jan 01, 1970 | Pages: 89 - 92 | DOI: 10.24911/ejmcr/173-1603960035

A case report of Acalculous gall bladder perforation with huge abdominal cyst

Authors: Ahmed Siddique Ammar , Zahra Sattar , Syed Asghar Naqi

Article Info

Authors

Ahmed Siddique Ammar

Senior Registrar, General Surgery, EAST Surgical Ward, MAYO Hospital Lahore, Pakistan

ORCID

Zahra Sattar

Senior Registrar, General Surgery, EAST Surgical Ward, MAYO Hospital Lahore, Pakistan

Syed Asghar Naqi

Head Of Surgical Department, General Surgery, EAST Surgical Ward, MAYO Hospital Lahore, Pakistan.

Publication History

Received: October 29, 2020

Revised: December 16, 2020

Accepted: February 01, 2021

Published: January 01, 1970

Abstract

Background: Gall bladder perforation presents in various forms with the most common being peritonitis. The most common causes include gall stones obstructing the cystic duct and necrosis of gall bladder due to ischemia. Case Presentation: A 19-year-old female presented to the emergency department of East Surgical Ward of Mayo Hospital Lahore, Pakistan, with a history of abdominal distension for 4 months for which she was counseled because of pregnancy. She gave birth to healthy baby 1 month prior, but abdominal distension did not resolve. On examination, she had a distended and tender abdomen with visible striae. She was tachycardiac with a pulse rate of 124 per minute and blood pressure of 110/80 mmHg. Fluid cytology showed negative for malignant cells and total leukocyte count of 17 × 109 /l. Abdominal ultrasound showed a huge thick-walled cystic area with internal echoes measuring 31 × 19 × 19 cm with total amount of fluid volume in the cyst was approximately 5 l arising from the right hypochondrium. On opening the abdomen, a huge cyst was encountered extending from the epigastrium to the pelvis with dense adhesions. The cyst was opened and fluid aspirated. Communication between cyst was found with gall bladder in the epigastrium. The cyst wall was excised partially, and cholecystectomy carried out. The patient was discharged on 5th post-operative day. Conclusion: The development of thick-walled huge cyst within abdominal cavity after gall bladder perforation is a rare entity, especially when the patient had gone through full-term pregnancy with the presence of the cyst.

Keywords: Case report, gall bladder, perforation, cyst, green

Pubmed Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi. A case report of Acalculous gall bladder perforation with huge abdominal cyst. EJMCR. 1970; 01 (January 1970): 89-92. doi:10.24911/ejmcr/173-1603960035

Web Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi. A case report of Acalculous gall bladder perforation with huge abdominal cyst. https://ejmcr.com/articles/1348 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1603960035

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi. A case report of Acalculous gall bladder perforation with huge abdominal cyst. EJMCR. (1970), [cited December 25, 2024]; 01 (January 1970): 89-92. doi:10.24911/ejmcr/173-1603960035

Harvard Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi (1970) A case report of Acalculous gall bladder perforation with huge abdominal cyst. EJMCR, 01 (January 1970): 89-92. doi:10.24911/ejmcr/173-1603960035

Chicago Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi. "A case report of Acalculous gall bladder perforation with huge abdominal cyst." 01 (1970), 89-92. doi:10.24911/ejmcr/173-1603960035

MLA (The Modern Language Association) Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi. "A case report of Acalculous gall bladder perforation with huge abdominal cyst." 01.January 1970 (1970), 89-92. Print. doi:10.24911/ejmcr/173-1603960035

APA (American Psychological Association) Style

Ahmed Siddique Ammar, Zahra Sattar, Syed Asghar Naqi (1970) A case report of Acalculous gall bladder perforation with huge abdominal cyst. , 01 (January 1970), 89-92. doi:10.24911/ejmcr/173-1603960035